Súbtil José Carlos, Betes Maite, Muñoz-Navas Miguel
José Carlos Súbtil, Maite Betes, Miguel Muñoz-Navas, Gastroenterology Department, University Clinic of Navarra, Pamplona 31008, Spain.
World J Gastrointest Endosc. 2010 Jun 16;2(6):203-9. doi: 10.4253/wjge.v2.i6.203.
The gold-standard management of acute cholecystitis is cholecystectomy. Surgical intervention may be contraindicated due to permanent causes. To date, the classical approach is percutaneous cholecystostomy in patients unresponsive to medical therapy. However, with this treatment some patients may experience discomfort, complications and a decrease in their quality of life. In these cases, endoscopic ultrasound (EUS)-guided gallbladder drainage may represent an effective minimally invasive alternative. Our objective is to describe in detail this new and not well-known technique: EUS-guided cholecystenterostomy. We will describe how the patient should be prepared, what accessories are needed and how the technique is performed. We will also discuss the possible indications for this technique and will provide a brief review based on published reports and our own experience.
急性胆囊炎的金标准治疗方法是胆囊切除术。由于一些永久性病因，手术干预可能存在禁忌。迄今为止，经典的方法是对药物治疗无反应的患者进行经皮胆囊造瘘术。然而，采用这种治疗方法，一些患者可能会感到不适、出现并发症并导致生活质量下降。在这些情况下，内镜超声（EUS）引导下的胆囊引流可能是一种有效的微创替代方法。我们的目的是详细描述这种新的且鲜为人知的技术：EUS引导下的胆囊肠吻合术。我们将描述患者应如何准备、需要哪些附件以及该技术如何实施。我们还将讨论该技术的可能适应证，并根据已发表的报告和我们自己的经验进行简要综述。
